A community of 30,000 US Transcriptionist serving Medical Transcription Industry

This drives me crazy!!! - Fatigued Fingers

Posted: Nov 03, 2012

It just drives me nuts when a doctor says "Patient has a history of whatever in the past." Duh, isn't that kind of redundant? History is always in the past. That's why it's history!

But what about when they say - Precious

[ In Reply To ..]
So and so is deceased at the present time. Do they expect them to not be shortly?

I absolutely hate when they say, - Patient was seen at 7 a.m. in the morning.

[ In Reply To ..]
You mean, not 7 a.m. in the evening???

AAAARRRRRRRRRGGGGGGGGGGGGGGGHHHHHHHHHHHHHHH!

If you think that's bad ... - Fatigued Fingers

[ In Reply To ..]
... check this out. "Father died of myocardial infarction twice." This account is verbatim, so I had to type it that way.

Maybe he got a "do-over." - Those should be allowed, you know!

[ In Reply To ..]
Maybe the first wasnt dramatic enough! :)

I wouldn't have changed that - even if not a verbatim account

[ In Reply To ..]
There are some people who die of sudden cardiac death, are then successfully resuscitated, only to die again later on with another myocardial infarction.

So technically, dying twice of a myocardial infarction is not unheard of.

MI and sudden cardiac death not the same. sm - Even doctors misuse the terms

[ In Reply To ..]
There is often sudden death after an MI, but sudden cardiac death or arrest and MI are completely different. An MI occurs when a blood clot blocks the flow of blood through one or more coronary arteries which can damage or destroy the heart muscle. Sudden cardiac death or arrest is from an electrical disturbance that causes the blood flow to stop and the heart stops pumping. In my husband's case, it was ventricular tachycardia. He was refereeing basketball, in perfect health, and suddenly face planted in the middle of the game. Luckily for us this happened at a military base facility where each facility is required to have an automatic defibrillator. He now has an AICD to control is VT. He had a perfectly normal right and left heart cath, no blockages or anything. His heart is perfectly healthy. Cardiologist suspects from long untreated OSA. Hubby had just gotten his CPAP machine a month before this happened. He is still running those basketball courts, jogging, and doing everything else. :D

Sorry, I guess I should have been more clear - sm

[ In Reply To ..]
Indeed, myocardial infarction and sudden cardiac death are not the same. I realize that I was not clear enough in my message that the sudden cardiac death happened simultaneously with the patient's first MI.

But, my whole point was that a patient can indeed "die twice" from myocardial infarction, so an MT should not even consider changing this if that is what was dictated.

LOL, I get what you're saying, but,... - (see message)

[ In Reply To ..]
....after all, they do say "Past Medical History" as a heading. I think they're distinguishing between a history of a disease that is still with the patient (like a history of diabetes) and a history of a disease that they are no longer suffering from (like a history of measles).

I do know what you mean, however. Things like this can definitely drive us nuts! :-)

Huh?? - Why

[ In Reply To ..]
would someone click "Dislikes" on this post? I don't read anything to dislike in it....it's just stating a truthful fact and wasn't argumentative or anything. This board sometimes leaves me scratching my head.

and... they HAD a history of... - ??

[ In Reply To ..]
Once in your history, always in your history.

Big dummies.

Along those lines - Fatigued Fingers

[ In Reply To ..]
And then there is "the patient has had a history of whatever." Yikes!

in the past - etyper

[ In Reply To ..]
I wonder if they ever listen to their dictations

Even if they did, they are so clueless they still - would not get it. no mess

[ In Reply To ..]
xx

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